| NPI | 1821058769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NC L000887) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L000887) |
| 133V00000X Dietitian, Registered (Licence: NC L000887) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |