| NPI | 1417388133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1879) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2013042149) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-08-21 |