| NPI | 1366049819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5614) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: FL ND5614) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-07-05 |