| NPI | 1861601643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D01644) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-06-24 |