| NPI | 1942598917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1440) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MS D1440) |
| 133V00000X Dietitian, Registered (Licence: TN 2326) | |
| 133N00000X Nutritionist (Licence: TN 2326) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2014-01-02 |