| NPI | 1609992320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 712) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 896925) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-03-04 |