| NPI | 1861654808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2002001242) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2002001242) |
| 133V00000X Dietitian, Registered (Licence: KS 461) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-02 |