| NPI | 1891110441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC di100000425) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD dx3470) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |