| NPI | 1093196438 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D1064029) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 1081723) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |