| NPI | 1215336011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1887) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2014000860) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2021-04-22 |