| NPI | 1336192897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 625) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 00470396) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |