| NPI | 1679003354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86032477) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2580) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |