| NPI | 1407096670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 5961) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003513) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2017-04-24 |