| NPI | 1962032045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1072186) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 205-LD) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2025-07-29 |