| NPI | 1982807715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 12865) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 347) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-04-29 |