| NPI | 1154590594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 3918) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND 3918) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |