| NPI | 1518695279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005807) |
| 133V00000X Dietitian, Registered (Licence: AL 5114) | |
| 133V00000X Dietitian, Registered (Licence: 1024069) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-02-28 |