| NPI | 1386835973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7523) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000721) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-03-31 |