| NPI | 1689338998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2572) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 3791) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |