| NPI | 1750977674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2023013895) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2972) |
| 133V00000X Dietitian, Registered (Licence: IA 86100401) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-03-14 |