| NPI | 1841174604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND12699) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 012428) |
| 133V00000X Dietitian, Registered (Licence: PA DN008523) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |