| NPI | 1487196960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND8768) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2021-06-11 |