| NPI | 1902931645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD0620) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM 0620) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NM 0620) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-04-24 |