| NPI | 1295274199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD001544) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1299) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-14 |