| NPI | 1568780799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 3349) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004344) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2014-10-17 |