| NPI | 1134535255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 121391) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND7422) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-10-07 |