| NPI | 1386060655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 3233) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2025004138) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2025-11-06 |