| NPI | 1457224685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 292577) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 012445) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |