| NPI | 1174203111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 1096920) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 9850) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |