| NPI | 1386037547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4479) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3584) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-04-13 |