| NPI | 1417382904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1040878) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1147) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |