| NPI | 1760552947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L000559) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: SC L000559) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L000559) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-05-25 |