| NPI | 1467332197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND8374) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT92435) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |