| NPI | 1104440627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2017031923) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2300) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |