| NPI | 1124464656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1687) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 01069672) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |