| NPI | 1912036229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1654) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D0298) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2016-11-12 |