| NPI | 1346790300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2088) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 86020939) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2021-01-14 |