| NPI | 1801697362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008595) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: NC 86175773) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-04-28 |