| NPI | 1710789508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86403548) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 3868) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |