| NPI | 1497537476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: 18410) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX6002) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |