| NPI | 1275420903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 5465) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD007539) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |