| NPI | 1629398052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN002185) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD D01181) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |