| NPI | 1720293814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 850935) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1584) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-10-12 |