| NPI | 1679468698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-987) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR D-10204850) |
| 133V00000X Dietitian, Registered (Licence: WA DI61017704) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |