| NPI | 1437498649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1136) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2010035838) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2014-03-06 |