| NPI | 1003147943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 467) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM 655464) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |