| NPI | 1265679070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 896323) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: LA 1757) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2012-05-09 |