| NPI | 1548473994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 00945087) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2156) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-07-02 |