| NPI | 1992581276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2527) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 1479) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |