| NPI | 1073822052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND2046) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND2046) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |