| NPI | 1922255058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1330) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 5295) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |