| NPI | 1972970754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1960) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2015016505) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |