| NPI | 1477962231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2041) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 1065323) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2015-12-03 |