| NPI | 1396182333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 910306) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 21220047) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2019-05-15 |