| NPI | 1255651816 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5672)  | 
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND5672)  | 
| Enumeration Date | 2010-06-07 | 
| Last Update Date | 2019-02-21 |