| NPI | 1588797831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 00475) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA R510183) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |