| NPI | 1760195564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86254381) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2025-04-02 |