| NPI | 1639243421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0655) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VT 0740000188) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-05-25 |