| NPI | 1528197290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000239) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2593) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |