| NPI | 1972766673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001018114) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 960) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |