| NPI | 1639911993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005989) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5938) |
| 133V00000X Dietitian, Registered (Licence: TX DT88882) | |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |