| NPI | 1457570434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004700) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005385-1) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-04-23 |