| NPI | 1114231859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2009020205) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1627) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |