| NPI | 1356885511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1069656) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005854) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2018-10-11 |