| NPI | 1497192249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 818967) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OK LD990) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: 09720118) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |