| NPI | 1538710249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 3297) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 672711) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |