| NPI | 1124371331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2021) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D1508) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2015-06-30 |