| NPI | 1336580513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 0000002580) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 975) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |