| NPI | 1124398763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004387) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1011274) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |