| NPI | 1710338967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 2667) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: TN 2667) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-10-20 |