| NPI | 1568590792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6310) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.004764) |
| 133V00000X Dietitian, Registered (Licence: GA LD002939) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-09-12 |