| NPI | 1942787213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 3050) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 3765) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-03-19 |