| NPI | 1649683160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1720) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2012024178) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |