| NPI | 1114211158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003540) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: NC L003540) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2015-09-14 |