| NPI | 1851606289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 249) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: MA 249) |
| 163W00000X Registered Nurse (Licence: MA RN230682) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-11-24 |