| NPI | 1154025583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND8618) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5192) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-04-14 |