| NPI | 1568748663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 00804506) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10144515) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |