| NPI | 1265755623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 460MNT) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 822200) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |