| NPI | 1750682928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60582627) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 997435) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2016-03-21 |