| NPI | 1972184117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86113224) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 86113224) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-26 |