| NPI | 1255709580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2025) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2015031008) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |