| NPI | 1588004972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1058) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 002132) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2016-12-12 |