| NPI | 1073182499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 3259) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 86057985) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-25 |