| NPI | 1417666116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 2528) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 2628) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |