| NPI | 1699816504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND3521) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-06-18 |