| NPI | 1205284213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1027) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND-11269) |
| 133V00000X Dietitian, Registered (Licence: NC L007017) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-01-31 |