| NPI | 1629462478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2014006742) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1909) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |