| NPI | 1790228138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00857) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3999) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |