| NPI | 1225317357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003672) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6066) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2015-05-29 |