| NPI | 1184929127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PA DN003855) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003855) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |