| NPI | 1104280130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN005574) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-01-29 |