| NPI | 1619038684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003245) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 931378) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-10-28 |