| 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 |