| NPI | 1255783585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 2582) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND8746) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-04-03 |