| NPI | 1851455273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 00995378) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD0672) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-08-27 |