| NPI | 1902181340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000711) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3245) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2016-10-19 |