| NPI | 1720445612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD003849) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: GA LD003849) |
| 133V00000X Dietitian, Registered (Licence: GA 21320330) | |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |