| NPI | 1982246542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 1526) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD005482) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-10-25 |