| NPI | 1043594427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD N00035) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD N00035) |
| 133N00000X Nutritionist (Licence: DC D1710) | |
| 133V00000X Dietitian, Registered (Licence: DC D1710) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |