| NPI | 1790735116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003498) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN003498) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-08-05 |