| NPI | 1679978928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 012302) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY ky-0512) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |