| NPI | 1467271817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4116) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD008339) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2026-01-22 |