| NPI | 1821149113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND3660) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND3660) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND3660) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND3660) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2011-06-07 |