| NPI | 1790100386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC D1100000568) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3546) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |