| NPI | 1851936264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |