| NPI | 1992953574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 725898) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC Dl100000313) |
| 133V00000X Dietitian, Registered (Licence: MD DX2712) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |