| NPI | 1245678580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 1024050) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND5667) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2013-06-09 |