| NPI | 1316368368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1045249) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 1853) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |