| NPI | 1801080700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 95) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 514) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |