| NPI | 1831879907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174200000X |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 136A00000X Dietetic Technician, Registered | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |