| NPI | 1295496891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-75427) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 75427) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-12-03 |