| NPI | 1275046054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2822) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AL 2822) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: AL 2822) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-06-10 |