| NPI | 1730821653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3389-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN008585) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-07-17 |