| NPI | 1578636353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 243) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: R640220) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-02-25 |