| NPI | 1285881979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD B00134) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: MD B00134) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |