| NPI | 1477733293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 964) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND4711) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |