| NPI | 1841612611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1124) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 706) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |