| NPI | 1710253547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6004) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 48006266) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |