| NPI | 1366265795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX7161) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 3881) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-07-18 |