| NPI | 1679891584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1180) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 01012965) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2015-12-14 |