| NPI | 1255638698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 540) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: LA 540) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 540) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |