| NPI | 1003620295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1650) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2008013394) |
| 133V00000X Dietitian, Registered (Licence: 961167) | |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |