| NPI | 1548652449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2575) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004322) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2021-01-07 |