| NPI | 1740602796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN ldn2861) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2486) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2017-05-05 |