| NPI | 1154584191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 651244) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L001598) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |