| NPI | 1962774331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 894) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 894) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-17 |