| NPI | 1639051808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND14435) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 14435) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-08-09 |