| NPI | 1780671297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002987) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 4771) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-11-10 |