| NPI | 1306157821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 814055) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000693) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |