| NPI | 1144334921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 527) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1837-029) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-02-25 |