| NPI | 1376063289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2074) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2016021215) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |