| NPI | 1609362854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10636) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 86040982) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-12-10 |