| NPI | 1609379254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7493) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 7493) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-09-17 |