| NPI | 1124302062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2097-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 978620) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2020-10-12 |