| NPI | 1457774051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7802) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 928944) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2017-02-27 |