| NPI | 1962742296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005342) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 7157) |
| Enumeration Date | 2013-02-23 |
| Last Update Date | 2024-01-20 |