| NPI | 1679383111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008154) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC LRD2408) |
| 133V00000X Dietitian, Registered (Licence: FL ND9604) | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-03-14 |