| NPI | 1770749707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002957) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 471) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2017-04-07 |