| NPI | 1336479013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2594) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC D1100000244) |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2010-01-02 |