| NPI | 1124639703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 004481) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 3180) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |