| NPI | 1962878702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 7189) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN LDN0000002669) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |