| NPI | 1891794400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002456) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1848) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2014-03-25 |