| NPI | 1942562236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 4355) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 10557) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2015-02-12 |