| NPI | 1518764828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 5148) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS 2687) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |