| NPI | 1487154415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86044052) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004832) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |