| NPI | 1275754509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-755) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY ky-05-1872) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-10-29 |