| NPI | 1326827197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 59.002292) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 252610) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |