| NPI | 1770367666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 5257) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86330311) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-10-02 |