| NPI | 1811606163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 86148038) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 59.002013) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |