| NPI | 1043503881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 21220137) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 971129) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NV 971129) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NV 33357D1-0) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2018-03-17 |