| NPI | 1326208562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1157) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 2014) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-09-17 |