| NPI | 1497173009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1620) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 924032) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |