| NPI | 1952517286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 375264-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 0000000124) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |