| NPI | 1881957413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005891) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 809) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-10-29 |