| NPI | 1750657334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 708510) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L000612) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |