| NPI | 1538314778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 6474) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DE 000000000) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2013-03-06 |