| NPI | 1124191531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 987) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 987) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-02-25 |