| NPI | 1578938072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY BDBDDN00223180) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: KY BDNDDN00223180) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |