| NPI | 1417640160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 10099) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 6396) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-31 |