| NPI | 1104534643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10217394) |
| Additional Taxonomies | 174400000X Specialist (Licence: 32308621) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-07-10 |