| NPI | 1720219793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1969) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 1969) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: LA 1969) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2023-09-28 |