| NPI | 1164964458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1020) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: LA 1020) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |