| NPI | 1528549367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2017036207) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2058) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2023-11-06 |