| NPI | 1841615812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN002162) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN002162) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2018-11-09 |