| NPI | 1326366436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 721773) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 20716) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2012-11-29 |