| NPI | 1316088875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002154) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 879011) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-04-20 |