| NPI | 1750875027 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND8765) | 
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND8765) | 
| Enumeration Date | 2018-06-19 | 
| Last Update Date | 2018-06-19 |