| NPI | 1093484404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2922) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 86035042) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-10-06 |