| NPI | 1356730113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4299) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 845459) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |