| NPI | 1841824075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86150937) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO BOC336986) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-10-08 |