| NPI | 1356034920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 3004) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D2454) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2025-04-14 |