| NPI | 1760574099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00479) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2190) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |