| NPI | 1083426415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 12628) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 012119) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |