| NPI | 1891556304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86083644) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 2090) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |