| NPI | 1962293654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 86010408) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133N00000X Nutritionist (Licence: PR 1893) | |
| 133N00000X Nutritionist (Licence: FL 7882) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: FL 7882) | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-10-08 |