| NPI | 1669761904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MO 2001003607) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001003607) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2016-05-18 |