| NPI | 1801299466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MT MED-NUTR-LIC-34641) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-34641) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |