| NPI | 1154654788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00860) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2915) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2018-03-17 |