| NPI | 1790801991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: OK 793) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AR 824) |
| 133V00000X Dietitian, Registered (Licence: OK 793) | |
| 133V00000X Dietitian, Registered (Licence: AR 824) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |