| NPI | 1164502894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 23) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME D1610) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-07-27 |