| NPI | 1144303959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 624) |
| Additional Taxonomies | 174400000X Specialist (Licence: 2082-0495) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-07-23 |