| NPI | 1922209915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 17783) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 152) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-12-01 |