| NPI | 1104079391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2533) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: MA 2533) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |