| NPI | 1568175578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-07-08 |