| NPI | 1063712396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN002287) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 867433) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2011-07-31 |