| NPI | 1164846630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004323) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 928) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |