| NPI | 1154002475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX4893) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86043008) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-03-25 |