| NPI | 1558619981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0390) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1018199) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |