| NPI | 1871186163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND12634) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2025-06-06 |