| NPI | 1508378522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1718) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 86088559) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |