| NPI | 1043691215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3735) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000720) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |