| NPI | 1083856082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 800) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 003315) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-07-03 |