| NPI | 1619691912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 5028-29) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-03-01 |