| NPI | 1093175911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 86034097) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND7646) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2022-07-21 |