| NPI | 1043565906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 728) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 003723) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |