| NPI | 1528849833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 86296527) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND11991) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-22 |