| NPI | 1407012511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 123071) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2018-03-17 |