| NPI | 1497358386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86116303) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202011812) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2024-07-15 |