| NPI | 1245703156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004188) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4734) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2026-02-04 |