| NPI | 1073391744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR D-10257497) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 1070759) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2025-11-10 |