| NPI | 1730965690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 86103241) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-10-13 |