| NPI | 1912062282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 979422) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: SD 0324) |
| 133N00000X Nutritionist (Licence: NE 831) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-11-06 |