| NPI | 1174377840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 86054775) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 2228) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |