| NPI | 1649960501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD006269) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LD006269) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |