| NPI | 1831769850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |