| NPI | 1013356054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2008024148) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1846) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-05-12 |