| NPI | 1053010397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1328) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86290639) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-05-15 |