| NPI | 1407363773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2269) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2015038304) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |