| NPI | 1972141117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |