| NPI | 1598576449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86345348) |
| 133V00000X Dietitian, Registered (Licence: WV 1791) | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-06-02 |