| NPI | 1780357970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 10923594-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 86042596) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |