| NPI | 1184011033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2497) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2018-04-19 |