| NPI | 1194021204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: MD 01061924) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2013-09-19 |