| NPI | 1073825691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI 749) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3502) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2014-04-17 |