| NPI | 1568077964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-79863) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2024-03-19 |