| NPI | 1215473442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10205) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 142542684901) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2025-10-27 |