| NPI | 1063734762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 2260) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: KY KY-2176) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2012-04-25 |