| NPI | 1801586698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD006917) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2393) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |