| NPI | 1639260326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D0924) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 888259) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |