| NPI | 1568105120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007768) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006856) |
| 133V00000X Dietitian, Registered (Licence: IL 164.008798) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2025-11-07 |