| NPI | 1205703337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 5377) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND14468) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |