| NPI | 1861897019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004602) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004118) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-08-20 |