| NPI | 1760245716 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86015440) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10141) | 
| 133V00000X Dietitian, Registered (Licence: NM LD-2023-048) | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: TX DT86915) | |
| Enumeration Date | 2024-02-02 | 
| Last Update Date | 2024-08-20 |