| NPI | 1508037490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2241) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN00565) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |