| NPI | 1346523297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD003728) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND5215) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |