| NPI | 1730040437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND14870) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND14870) |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2026-03-03 |