| NPI | 1386188332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004676) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2230) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |