| NPI | 1942619507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 865797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND4714) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |