| NPI | 1518295161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: GA 003075) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD003075) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2020-10-02 |