| NPI | 1508961152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 871650) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-08-31 |