| NPI | 1164735627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003620) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003620P) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2013-11-04 |