| NPI | 1023256088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MA 2779) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2779) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2011-12-08 |