| NPI | 1083133235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4772) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND4772) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2025-02-28 |