| NPI | 1174248520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007831) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR DT92282) |
| 133V00000X Dietitian, Registered (Licence: MT 155735) | |
| 133V00000X Dietitian, Registered (Licence: NY 012601) | |
| 133V00000X Dietitian, Registered (Licence: TN 5059) | |
| 133V00000X Dietitian, Registered (Licence: CT 2739) | |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2025-12-05 |