| NPI | 1114424496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2263) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2019-04-23 |