| NPI | 1366748139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 8698311-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 857962) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2017-12-08 |