| NPI | 1992269450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND10193) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004916) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2021-01-16 |