| NPI | 1295624922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 3090) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2025043357) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2026-03-08 |