| NPI | 1790168805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2008025558) |
| 133V00000X Dietitian, Registered (Licence: IL 164.000448) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-05-13 |