| NPI | 1235522699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2710) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 077186) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2016-02-24 |