| NPI | 1851726475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1479) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 965444) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |