| NPI | 1114644937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 277028) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: NC L007094) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-12-23 |