| NPI | 1871861799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 01583) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 601) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |