| NPI | 1164011680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2020034572) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2542) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |