| NPI | 1790912749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DO1324) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI435) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |