| NPI | 1205183233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 890481) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CT 001864) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-07-01 |