| NPI | 1841440807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 000002780) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0679) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2013-09-20 |