| NPI | 1639495450 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005549) | 
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND1900) | 
| Enumeration Date | 2010-04-19 | 
| Last Update Date | 2023-05-04 |