| NPI | 1427765650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000296) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5428) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |