| NPI | 1841045390 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 13504857-4901) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered | 
| Enumeration Date | 2024-04-18 | 
| Last Update Date | 2024-09-16 |