| NPI | 1952731168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 123112) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2571) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2023-06-19 |