| NPI | 1871777458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 171063) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 123514) |
| 133V00000X Dietitian, Registered (Licence: KY KY-0300) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-03-17 |