| NPI | 1992108435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1927) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: OK 21510373) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2015-09-21 |