| NPI | 1235929548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD006579) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS 2558) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |