| NPI | 1770517336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD002499) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6488) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-04-29 |