| NPI | 1639863939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10188) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 10188) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-30 |