| NPI | 1568044998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND1200) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 702261) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |