| NPI | 1316087406 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND3244)  | 
| Enumeration Date | 2007-02-07 | 
| Last Update Date | 2016-11-16 |