| NPI | 1508140013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005137) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 972) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2018-03-17 |