| NPI | 1760821177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 59) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA R473142) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |