| NPI | 1902347461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 8148) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 1094921) |
| 133V00000X Dietitian, Registered (Licence: FL ND8148) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-05-11 |