| 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 |