| NPI | 1154687192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: DC NU100000121) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX3350) |
| 133V00000X Dietitian, Registered (Licence: DC DI00000518) | |
| 133V00000X Dietitian, Registered (Licence: MD DX3350) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2013-01-17 |