| NPI | 1194915819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D01168) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD D01168) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |