| NPI | 1104295294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2516-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1092550) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |