| NPI | 1891103644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 6958) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6958) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-03-01 |