| NPI | 1720788847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1067825) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND7883) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |