| NPI | 1801141544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 1804) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: KY 1804) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-10-09 |