| NPI | 1215151873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 121108) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY KY-1160) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-02-07 |