| NPI | 1770789893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PA dn002928) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 720548) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2025-09-11 |