| NPI | 1447130539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX6153) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR D-10260204) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |