| NPI | 1962166009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2026005013) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 2453) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2026-02-05 |