| NPI | 1760087225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005650) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D-2011) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |