| NPI | 1922482363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 849921) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY KY-1250) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |