| NPI | 1447787437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 564437) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 45) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |