| NPI | 1346053691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: PR 002244) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 002244) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-10-15 |