| NPI | 1003240524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NE 512) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NE 512) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-06-07 |