| NPI | 1972833390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 931238) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 931238) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-09-16 |