| NPI | 1902257900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1967) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2015035508) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |