| NPI | 1518212372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003882) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA RD 979416) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |