| NPI | 1902149750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10159207) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD003133) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-12-12 |