| NPI | 1730210121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MA 1136) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 1136) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |