| NPI | 1497179378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2305) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 1074987) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |