| NPI | 1992936207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1864) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2013036213) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-12-16 |