| NPI | 1760998595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86059182) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MN N225) |
| 133N00000X Nutritionist (Licence: SD 0611) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |