| NPI | 1811329147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 995338) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003195) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2021-02-10 |