| NPI | 1386416832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 1099268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 1099268) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2026-07-07 |