| NPI | 1700190832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NC 843319) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L001680) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2014-04-09 |