| NPI | 1114714482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 2147) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 2147) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: PR 2147) | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-05-19 |