| NPI | 1881026300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 86012347) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004098) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-12-05 |