| NPI | 1023746369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5041) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2022-08-14 |