| NPI | 1164632519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 710395) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-09-11 |