| NPI | 1982202982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NC L008512) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 86093781) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2025-11-20 |