| NPI | 1538281365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1100) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001008180) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-05-20 |