| NPI | 1992370860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 86150801) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006395) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-07-31 |