| NPI | 1811673031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 927335) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 8473) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |