| NPI | 1497923197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA NU2237) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 256) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-08-12 |