| NPI | 1821397969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 1002021) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-0775) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |