| NPI | 1215188131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 806 (State)) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 85007536 (National)) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |