| NPI | 1073246096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 3831) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 10196) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-09-06 |