| NPI | 1518298470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 85007357) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 85007357) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |