| NPI | 1144163692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10899) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87463) |
| Enumeration Date | 2026-04-10 |
| Last Update Date | 2026-04-10 |