| NPI | 1790054112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 2386029) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2019-12-03 |