| NPI | 1528362241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 123786) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2273) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2018-03-17 |