| NPI | 1487816278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2007015882) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1406) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |