| NPI | 1225721988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L007304) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-1377) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-04-15 |