| NPI | 1790917979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 862411) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L001930) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2024-04-22 |