| NPI | 1417246661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6145) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND6145) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2015-09-11 |