| NPI | 1205076395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 486) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000106) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |