| NPI | 1144288390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 651388) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: KS 08620601) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |