| NPI | 1447568159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1063) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 811258) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |