| NPI | 1043902174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008074) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10665) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |