| NPI | 1205697596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2011011540) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2733) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |