| NPI | 1770644981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD N00238) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U00832) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |