| NPI | 1508461997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 5318) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005900) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-11-04 |