| NPI | 1477548162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 1621029) |
| Additional Taxonomies | 174400000X Specialist (Licence: WI 353039) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-08 |