| NPI | 1497417257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008072) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 59.001659) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-02-20 |