| NPI | 1962997189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 4056) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 004566) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-06-15 |