| NPI | 1982294229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007079) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6687) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |