| NPI | 1316836331 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 3296) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2021019229) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-21 |