| NPI | 1700237344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2111) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2016018976) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |