| NPI | 1457820060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005245) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3667) |
| 133V00000X Dietitian, Registered (Licence: SC 1863) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |