| NPI | 1386951952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1178) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 1178) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: LA 1178) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |