| NPI | 1154442200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 001471) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 6652) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-04-19 |