| NPI | 1851891634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 001554) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 001559) |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2020-12-18 |