| NPI | 1902032733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2008007056) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 1470) |
| 133V00000X Dietitian, Registered (Licence: TX DT80726) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |