| NPI | 1487909362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 922419/2144) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA LDN#2144) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2013-08-30 |