| NPI | 1346683372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD002941) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2109) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |