| NPI | 1073093365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2304) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2017026059) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |