| NPI | 1528117298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DD0764) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY KY1679) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |