| NPI | 1083869879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0389) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 001838) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2015-04-23 |