| NPI | 1639677990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 12142067-4901) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2023-06-30 |