| NPI | 1215470968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86009599) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX4079) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |