| NPI | 1821709932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006949) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND9371) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-13 |