| NPI | 1437912037 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND12656) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND12656) | 
| Enumeration Date | 2024-02-05 | 
| Last Update Date | 2024-02-05 |