| NPI | 1588098800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1825) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2014000499) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2024-06-25 |