| NPI | 1487422721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86152659) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN007756) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2026-02-16 |