| NPI | 1295023471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MA 3091) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3091) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2013-09-20 |