| NPI | 1811522428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 770) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 2008) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-12-07 |