| NPI | 1285701771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 863690) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L002299) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-09 |