| NPI | 1679735617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2005015073) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1292) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-18 |