| NPI | 1508191974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1178) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2179) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2018-09-13 |