| NPI | 1568602928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 074-0000228) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000580) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |