| NPI | 1982315883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 282554) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 86373368) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-07-24 |