| NPI | 1184147092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2017018238) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2187) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2020-03-03 |