| NPI | 1063089951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5513) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 1965) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-11-10 |