| NPI | 1053480749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND0000057) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD001051) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-05-09 |