| NPI | 1144397563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4704) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2006032648) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-07-21 |