| NPI | 1740684109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1545) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 273357192) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2025-02-12 |