| NPI | 1235950528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN008612) |
| 133V00000X Dietitian, Registered (Licence: NC L008139) | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |