| NPI | 1144964503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 86292832) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-11-22 |