| NPI | 1689948846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D00670) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC D1195) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |