| NPI | 1891025276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003632) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3055) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2017-03-09 |