| NPI | 1558660860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2009029526) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1629) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |