| NPI | 1588970677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2011000798) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1628) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2012-12-17 |