| NPI | 1013398585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1984) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1105904) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |