| NPI | 1437530193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10491) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003299) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-05-08 |