| NPI | 1467601179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 436647) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND77) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2014-06-03 |