| NPI | 1255561494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2715) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: MA 2715) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-03-21 |