| NPI | 1831100940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 888819) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10158606) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-03-17 |