| NPI | 1790395424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: KS 2500) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 2500) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |