NPI | 1164207833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND14241) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 1976) |
Enumeration Date | 2023-08-30 |
Last Update Date | 2025-09-11 |