| NPI | 1043000748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 5054) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 12027) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |