| NPI | 1992233639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001106) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |