| NPI | 1114156239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 852526) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005693) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |