| NPI | 1003123332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1565) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2009031341) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2022-01-27 |