| NPI | 1740584721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ME DI1054) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN0043) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-12-22 |