| NPI | 1609682533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1422) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 072302) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |