| NPI | 1821634510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 706049) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 1530) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |