| NPI | 1992082630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003890) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 1057365) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2013-02-20 |