| NPI | 1194956458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD D02362) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD D02362) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |