| NPI | 1790168763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND9815) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: FL RPT42082) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-03-07 |