| NPI | 1306114749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3601) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN00703) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2014-02-04 |