| NPI | 1588984009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 640) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D1410) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2017-04-07 |