| NPI | 1174873715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD003946) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD003946) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: GA LD003946) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2013-02-19 |