| NPI | 1346489663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 767) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-525) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |