| NPI | 1861734071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1296) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 1296) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: LA 1296) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-06-16 |