| NPI | 1043863319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-88693) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86044523) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-09-07 |