| NPI | 1780291245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3061) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2021-12-01 |