| NPI | 1902183767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1023686) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: AZ 21600246) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-09-06 |