| NPI | 1790188944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1861) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 86046423) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2023-06-08 |