| NPI | 1356181408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: AZ 086099938) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 086099938) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-07-29 |