| NPI | 1144611625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86033039) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37002423A) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |