| NPI | 1902404684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10785) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX3518) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2022-03-24 |