| NPI | 1699592360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND13574) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD007945) |
| 133V00000X Dietitian, Registered (Licence: OR D-10261684) | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2025-12-01 |