| NPI | 1184771693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL nd4583) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 3060) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-07-21 |