| NPI | 1740530005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 945) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 10150) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |