| NPI | 1568695401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 296) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001011598) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |