| NPI | 1962385781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND8824) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L007918) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |