| NPI | 1356813430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 002080) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 9131) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2025-10-21 |