| NPI | 1154638997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 569) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2624) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2015-07-24 |