| 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 |