| NPI | 1639685191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: MI 945321) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: MI 202214) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |