| NPI | 1982046819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 300) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2219) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2019-10-17 |