| NPI | 1760896492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 1688) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 86008985) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |