| NPI | 1114784543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 86099005) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |