| NPI | 1134233257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD001900) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2002031039) |
| 133V00000X Dietitian, Registered (Licence: FL ND3766) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-06-09 |