| NPI | 1518398767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 718881) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 0529) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |