| NPI | 1902578040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10719) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87664) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-12-30 |