| NPI | 1962522284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 143) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 793) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-06-04 |