| NPI | 1790311405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86054081) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND8111) |
| 133V00000X Dietitian, Registered (Licence: SC 2035) | |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |