| NPI | 1396325288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2241) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2019036337) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |