| NPI | 1881134500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 087) |
| Additional Taxonomies | 174H00000X Health Educator |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WY 087) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WY 087) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: WY 087) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2024-01-16 |