| NPI | 1295524163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND13961) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD006654) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |