| NPI | 1104579069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 86100729) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: VA 86100729) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: VA 86100729) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2023-08-24 |