| NPI | 1659778397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 86015621) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 2019) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |