| NPI | 1619184173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-000663) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR OR663) |
| 133V00000X Dietitian, Registered (Licence: ID D-294) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-01-21 |