| NPI | 1801576608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 011470-01) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX7234) |
| 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-158808) | |
| 133V00000X Dietitian, Registered (Licence: TX DT91541) | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2025-08-17 |