| NPI | 1750952271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008923) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 010111) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2026-06-09 |