| NPI | 1255746574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX3622) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3622) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |