| NPI | 1912144619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 864610) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID d548) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |