| NPI | 1639585995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 725073) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000154) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |