| NPI | 1043616766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 36833DI-0) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2015-01-06 |