| NPI | 1427489301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 2066) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 506) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2017-09-28 |