NPI | 1932250859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001010244) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 000038) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2014-02-26 |