| NPI | 1700342466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2019003416) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2242) |
| 133V00000X Dietitian, Registered (Licence: 86083732) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |