| NPI | 1700172574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004611) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-09-14 |