| NPI | 1760225254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 40890-DI-0) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 5516) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |