| NPI | 1366694127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1355) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2106) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2013-03-22 |