| NPI | 1629948898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: DC NU200000276) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX7507) |
| Enumeration Date | 2025-11-11 |
| Last Update Date | 2025-11-11 |