| NPI | 1720110711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1358) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D1229) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |