| NPI | 1508306960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2013002866) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 237) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |