| NPI | 1316927304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 710) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 01349) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |