| NPI | 1811262165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 4075) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-10-30 |