| NPI | 1609235514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA la) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 896549) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |