| NPI | 1932721198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005238) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86077217) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-08-22 |