| NPI | 1790667889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 086109932) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: VA 86109932) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-26 |