| NPI | 1093512253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 165961) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD005669) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |