| NPI | 1316233406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 289) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001026367) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |