| NPI | 1770053811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 86051166) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2021-04-19 |