| NPI | 1013781814 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: ND 1245)  | 
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: ND 1245)  | 
| Enumeration Date | 2023-11-13 | 
| Last Update Date | 2023-11-13 |