| NPI | 1861050049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008662) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4208) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-08-21 |