| NPI | 1760630008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001010263) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1064) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |