| NPI | 1063268597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2023035528) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 3072) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |