| NPI | 1669764395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 917122) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: AL 917122) |
| 133N00000X Nutritionist (Licence: AL 917122) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AL 917122) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2025-05-14 |