| NPI | 1073189064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 6114-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 86153581) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2025-08-19 |