| NPI | 1134114002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 429673) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: KY 0793) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-10-04 |