| NPI | 1285960385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6315) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 1974) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2018-11-29 |