| NPI | 1912530981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006453) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 86010438) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-09-07 |