| NPI | 1164872271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2015016165) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2001) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |