| NPI | 1053443077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2004019597) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 789) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |