| NPI | 1790036762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 1087828) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10391) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2025-03-19 |