| NPI | 1972876217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 1002880) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: SC ldr893) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2013-03-11 |