| NPI | 1619473048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 12469) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86068871) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-01-19 |