| NPI | 1679509897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2800) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 443) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-02-19 |