| NPI | 1750710471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60671409) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007455-1) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2016-10-07 |