| NPI | 1457840159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 9034772-4901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9034772-3102) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-03-14 |