| NPI | 1063639730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN001751) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA DN001751) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-01-25 |