| NPI | 1053933960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86083113) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD006169) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2024-04-04 |