| NPI | 1124729967 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND11935) | 
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic | 
| Enumeration Date | 2023-03-16 | 
| Last Update Date | 2025-01-27 |