| NPI | 1104018266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1550) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 516) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-02-10 |