| NPI | 1174696058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3388) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003675) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-11-09 |