| NPI | 1366687857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2082) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD dx2470) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2012-03-17 |