| NPI | 1740175207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD003815) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC LRD.2734RD) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |