| NPI | 1598280851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 86026773) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL 7501) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |