| NPI | 1669253381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 310) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-128510) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |