| NPI | 1356816755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86039166) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: 7928390) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2026-03-11 |