| NPI | 1841611449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2676) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 692) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2014-02-18 |