| NPI | 1578505780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: 865489) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered (Licence: FL ND4121) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-08-14 |