| NPI | 1598369928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006243) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD006389) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2025-01-02 |