| NPI | 1881163400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 848395) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L001389) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |