| NPI | 1891756730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 930657) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 1476) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |