| NPI | 1053656033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004998) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN004998) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2016-01-15 |