| NPI | 1700264652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006091) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6733) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2025-08-16 |