| NPI | 1790109106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 941516) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 1410) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |