| NPI | 1063863512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2012041307) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1793) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |