| NPI | 1679737860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001011160) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 546) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |