| NPI | 1578969598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86033006) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86033006) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2023-01-19 |