| NPI | 1295592624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008131) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX6287) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |