| NPI | 1528333572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2011034486) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: MO 14887) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |