| NPI | 1518276542 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic | 
| Enumeration Date | 2010-09-24 | 
| Last Update Date | 2010-09-24 |