| NPI | 1013678077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 0000004042) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-05-30 |