| NPI | 1568258119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND12883) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD007011) |
| 133V00000X Dietitian, Registered (Licence: TX DT92024) | |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |