| NPI | 1831276245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 6311075-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: R380304) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |