| NPI | 1255162855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2858) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2024011638) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |