| NPI | 1588637656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC D1575) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD D01578) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-07-08 |