| NPI | 1366297947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7507) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 3646) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |