| NPI | 1871787705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 855477) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L001881) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2011-09-29 |