| NPI | 1801171392 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 1571)  | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PR 1571)  | 
| Enumeration Date | 2011-10-15 | 
| Last Update Date | 2011-10-15 |