| NPI | 1801422126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10833) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006076) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2025-05-21 |