| NPI | 1902036148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD005865) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1031483) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2021-07-06 |