| NPI | 1134550981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CDR 86012634) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX3558) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |