| NPI | 1750733762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7871) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L007660) |
| 133V00000X Dietitian, Registered (Licence: TX DT88345) | |
| 133V00000X Dietitian, Registered (Licence: OR 10248537) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2024-12-31 |