| NPI | 1053623702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC D1100000324) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2916) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2013-09-30 |