| NPI | 1841400447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 275) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2004024279) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |