| NPI | 1336287838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: DC NU80) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC D1106) |
| 133V00000X Dietitian, Registered (Licence: MD B00234) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |