| NPI | 1275685828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 169351) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY KY0025) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-09-25 |