| NPI | 1558714626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 1594) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 083269) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-03-09 |