| NPI | 1922432277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 084) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 87227) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2021-05-21 |