| NPI | 1023731056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006232) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1319) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-10-05 |