| NPI | 1053970715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 32200399) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC Loo3561) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-10-25 |