| NPI | 1730794504 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 10020)  | 
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: FL 10020)  | 
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: FL 10020)  | |
| Enumeration Date | 2020-09-09 | 
| Last Update Date | 2020-09-09 |