| NPI | 1043034291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND11016) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 6167) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |