| NPI | 1467623835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D0904) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 000444) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |