| NPI | 1942507918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 709397) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 520) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2012-10-18 |