| NPI | 1972548204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 234) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 711884) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |