| NPI | 1154537892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD N00139) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002922) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |