| NPI | 1457518755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND9674) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH17696) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-02-26 |