| NPI | 1619402831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 5274) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND8516) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-05-02 |