| NPI | 1316419633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 5210) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6750) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2025-07-07 |