| NPI | 1619221041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 979040) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NC 979040) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NC 979040) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |