| NPI | 1992180939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: CO 1072108) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: CO 21420304) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-08-26 |