| NPI | 1215206610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004112) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L003764) |
| 133V00000X Dietitian, Registered (Licence: NC 1081096) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2015-10-27 |