| NPI | 1861926701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 428) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 426) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-05-08 |