| NPI | 1689533671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86011246) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CO 32100104) |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-01-16 |