| NPI | 1629152863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1321) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2005020191) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |