| NPI | 1659035848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1277) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86086516) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-11-16 |