| NPI | 1407322860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86040807) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2018016422) |
| 133V00000X Dietitian, Registered (Licence: KS 2284) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |