| NPI | 1053860858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 9435) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005017) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2020-02-08 |