| NPI | 1275852733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 1917) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD003140) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |