| NPI | 1598095556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY KY2000) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 7832) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2025-08-29 |