| NPI | 1811301534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 2073) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 1002948) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-07-24 |